HomeMy Public PortalAbout5532 GOLDEN WEST AVE_Building__ EP�IRTMENT OF COUNTY ENGINEER
` SIbN OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN 1 FOR OFFICE,,,USE ONLY
BUILDI 8� �� DISTRICTJJO ; PLAN CK.oe Rec.No. PER/MIeT�N�sO?, !
`C1 �:v^ F 7
LOCALITY ,/ ��„ ,,.py�,v.c.., REC D B DATE OF APPL. DATE ISSUED
NEAREST
OWNER CROSS T�
ADDRESSBUILDIN
AAIL �G✓N•�L' LOCALITY L
TEL NEAREST
CITY �Q-•^^^�� .T 3 7d CROSS ST. 4 �✓ C7 —
ARCHITECT OR TEL. - FIRE S I NO OF -TYPE GROUPt
ENGINEER ,c..�/ N ZONE PLANS
ADDRESS BLDG I i •ORD.ANO
SETBACK`LINE i
TELUSE APPROVED '
CONTRACTOR NO ZON f BY ' DATE
- ,• HOUSE NUMBERING "
ADDRESS t
LEGAL MAP NUMBEIL -• NO. ASSIGNED BY
DESCRIPTION I LOT NO.AL I •BLOCK
_ CORRECTIONS 1
TRACT •1131 NO OF 7 }
SIZE OF LOT �7 O I NOW ON LOTGS 2 ��• �O n�I
USE OF / NO. OF -
EXISTING BLDG. G7"Mi FAM IL..
DESCRIPTION OF WORK o -
_ A
NEW ALTERATION ADDITION
REPAIR H DEMOLITION I-I Z
D
SQ FO. OF
S IE T/ fli(7 4, yr �00IM3 STORIES
EXT. WA � ROOF 1-1?COVER
COVERING
USE OF STRLLPIJ
Oes
/}
APPROVALS '
INSPECTOR'S SIGNATURE DATE
_ FOUNDATION: LOCATION
FORMS, MATERIALS ,.F w.wGa. `A •rQ �•
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, �� ,
AND STATE LAWS REGULATI LOING CONSTRUCTION GAS VENT, DUCTS
SIGNATURE OF LATH, INT.
PERMITTEIE
LATH. EXT.
ADDRESS •�
_ PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
FEE
$
HOUSE NUMBER COR-
RECT AND POSTED -
VALUATION FEE $ c7m FINAL '
_ate... Z
76AGS13A 01333 9-52 -
�eaeaea oes.a P"1 P P U V A 7 I®N F®R ®V' L®I N G PERMIT
t�•ss - � -
DNISION OF BUILDING AND SAFETY BUILDING 4 —_
ADDRESS
Department of County Engineer
County of LoB.Angelee LOCALITY a
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN, SUF'T OF BUILDING CROSS ST (t (2' -
FOR' APPLICANT TO FILL IN DISTRICT O. GROUP ,TYPE SEWER MAP
BK PG
CONST.
BUILDING _
ADDRESS - MAP
5532' GOsdsm ,Asst . NUMBER - HWY '•STATE YES NO
LOT NO.
BLOCK ' USE ZONE SPECIAL
- -CONDITIONS
TRACT 14- 1
NO OF BLDGS. -
'SIZE OF LOT I NOW ON LOT BUILDING YARD HWY STREET NAME EXIST.
USE OF SETBACK- WIDTH
EXISTING BLDG. FRONT
Ili, P. L
OWNER Il , ItaUbLoon SIDE
P. L.
MAIL 5532: Golden~ Weat-,
ADDRESS TEL. O TRACT DWELL. i UNIT 5 INDU,&r-F"L
CITY' + +��!G�St�" NO. At 73670 1 DWELL.. I UNIT 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT., ETC.
ENGINEER NO., - -
3 !APT. UNITS 8 MISCEL. d =
ADDRESS 4 COMMERCIAL -
,,1 �,,,Q TE`' 1. INSPECTION RECORD
CONTRACTORVcayly �pwtg �O.�t 75
ADDRESS 305"2 Vail ,y ._ftn,Gabxiel - -
DESCRIPTION OF. WORK ,
NEW ADD SALTER REPAIR DEMOLISH -
SQ. FT. -NO OF NO OF
SIZE STORIES FAMILIES
USE OF sutWEBTU Pay=,Floor Furnam
.+'SIRBWsiV
SIGNATURE OF all'aw Heating g O 4, �Y APPROVALS
ADDRESS �;K/�'E,p rGabrial DATE INSPECTOR'S SIGNATURE
$ Y - FOUNDATION LOCATION -
P.C..5...•.. FORMS, MATERIALS
FEE FRAME* FIRE STOPS.
VALUATION 2-59000BRACING. BOLTS
FEE S 2000 FURNACE LOCATION, q '
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS
APPLICATION AND STATE.THAT THE ABOVE, IS CORRECT. - -
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.,INT.' g t 1ta
AND STATE LAWS `REGULATING BUILDING CONSTRUC- -
TION. - -
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
,PERMITTEE- �* RECT AND POSTED
ADDRESS'- 6 FINAL
JOHN A. LAMBIE, COUNTY ENG ER TION, CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR
CASH - - '
S°B-3 25M 5ETs s-44 I• AP,PLICATION FOR PERMIT "
D,E]?ARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES AUG 1tt 3 1945 BUILDING
�
WM.J. FOX, CHIEF S ENGINEER LJ ING
NO. OF BLDG. ORD.NO. DISTRICT j�O� PLA'N'CK.•NO. PERMIT NO.
PLANS SETBACK LINE /,( �/1 �T v
FIRE APPROVED ` LLJJ (/`
ZONE BY _ _DATE RECEIVED BY DATE OF APPL. D��DA---TE ISSUED
USE APPROVED
ZONE BY ATE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
d BUILDING ,���•� //
O E NAME ADDRESS
W Z ADDRESS LOCALITY
F
U
U W CITY' / - / �,r _ CROSS 3T.
s
Q STATE EL. f -
LICENSE NO NAM .
Al L
OE NAME 3 ADDRESS
U O
TEL. \ �
ADDRESS CITY �� 1' - A� .! NO.
z 1 HEREBY ACKcNOWLEDGE 7 1 HAVE READ THIS �.
O CITY - APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. + NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
Oz LOT NO. SIZE OF LOT SIGNATURE OF
NO. OF BLDGS.��ON LOT
ell
"l i
Q d BLOCK NOW, AUTHORIZED AGT.
O -
"1 N TRACT /L ! CORRECTIONS •^,/f
D USE OF BLDGS.
NOW ON LOT
DESCRIPTION OF WORK f
USE OF
BUILDING .+Y.a. 'h"'.. +-,.•�
f �
�C7 r;as•� Yee r 1'f C�/�- ,I
-
I
` Z
a
NEW Y. TYPE GROUP
NO. OF NO. OF -
ALTERATION ROOMS FAMILIES
ADDITION SIZE
REPAIR STORIES f
MOVING WALL COVERING v
I ROOF GC�I�V1�I�`f�INr
FEE $ FINAL APPROVAL
� s / % INSPECTOR
• VALUATION FEE DATE - I -NAME J
'7%A638A CE#863 8,64+ APPLICATION FOR BUILD G PER IT',
'CO1dNTY'& LOS ANGELES. BUILDING .
DEPARTMENT OF COUNTY ENGINEER A D DRESS 553P QaJdAxi wast.
T BUILDING AND SAFETY DIVISION .' LOCALITY .TeMRje Cily
JOHN-A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W JENKINSSUP T OF BUILDING CROSS ST '
.. DIST WCT NQ./ G,ROU TYPE PW SS BY
FOR,APPLICANT TO FILL IN ply � , CONST
BUILDING _ ��r - - STATISTICAL CLA SIFICATION SEWER MAP
ADDRESS 2 Gold n e t CLASS NO DWELL UNITS -BK PG-
LOT NO 12 BLOCK USE ZONE MAP F)�•� -
NO (/
TRACT - 111 31 _ SPECIAL. -
NO OF BLDGS CONDITIONS
SIZE'OF LOT - ,NOW ON LOT
USE OF
EXIST -• BLDG SETBACK FROM
TELFRONT PROP. LINE OF (STREET)
OWNER NO TYPE OF EXISTING SETBACK HIGHWAY, + YARD TOTAL
ADDRESS HIGHWAYS WIDTH FROM C L 4
+
CITY
ARCHITECT O - TEL BLDG S BACK'FROM -
ENGINEER - NO SIDE PROP LINE OF (STREET)
TYPE OF -EXISTING SETBACK HIGHWAY, -+ YARD = TOTAL'
ADDRESS HIGHWAY WIDTH FROM C L }
C 0 'Anthon P o ' In - _ a
C ONTRACTORAnthon Pools- NOL- 7 -2210- - ' - + - - O
__ LIC ,-CORNERS CUT OFF YES E - NO El Ind
NO
CITY South Gate Cal cL ` C SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
U)
__z
NEW X ADD ALTER REPAIR DEMOLISH _
SQ,FT NO OF - NO, OF
SIZE l STORIES FAMILIES -
USE OF ,
STRUCTURE ^
STAN Al,
SIGNATURE OF
APPLICANT
VALUATION$ 2750.00ApPROVA LS ATE 9P CiOR'S 51 N RE
P C PMT FOUNDATION, LOCATION
FEE$ 5 6 FEE-$ _ FORMS, MATERIALS
. FRAME, FIRE ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTSTOPS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE•TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY'ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS -
.3UILD ING CONSTRUCTION I CERT999*
WORK
AUTHORIZED HEREBY I WILL NOT VIOLA- LATH INT ,-
TION OF THE LABOR CO OF THELAT-
ING TO WORKMEN O ENSATIONLATH`•EXT 4
1
SIGNATUF2 OF O •R-COR-'
PEftM ITT RECT AND POSTED
ADDRESS F I NAL - frn
JOHN F LEWIS PRINCIPAL STRUCTU AL ENGINEER
PLAN CHECK VALIDATION-, �K M O CASH PERMIT VALIDATION CK M O CASH
LHUO,;6 U'1 3:o ,AUG 2 01' 1�0' 5.63--,
6 G 1 4 AUG20 1 D 2 2,.50-.
WORKERS' COMPENSATION DECLARATION
I hereaffirm thato
insurebor a certif catte of Worke s' Compensation on of consent Insuran elf APPLICATION FOR BUILDING .P E RM I T
or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING t r'22 011-
tion department. ADDRESS 7J.�,�pp C�
Date Applicant CITY / CL ZIP LOCALITY
��// ,/ / NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT Ov X p NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT �� f BLOCK LOT NO. MAP BOOK ���� PAGE /� PAR
hundred dollars ($100) or less.) OWNER�s/G- / Q� TELNO' �� USE ZONE MAP
I certify that in the performance of the work for which this / _ /
NO.
permit is issued, I shall not employ any person in y manner ADDRESS Z CJo SPECIAL a
CONDITIONS
so as to become subject to the Worke 'Co pe tion Laws. OU
'/ / CITY /�/�r Vr ZIP
Date `/��Applicant / ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0
NOTICE TO APPLICANT: If, after mak' his Certificate of ENGINEER NO. CONST. ZONE
Exemption, you should become s ject to the Workers'
Compensation provisions of the Labor Code, you must forth- ADDRESS
with comply with such provisions. or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked.
CONTRACTOR NO (/�� z
LICENSED CONTRACTORS DECLARATION �' LIC 7�1� CLASS NO. C DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. .7 ;t
(commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP
and Professions Code,and my license is in full force and effect. CITY / G CLA a BK PG VALIDATION
SQ. FT. NO. OF NO, OF CHECK
License Number Lic. Class SIZE STORIES FAMILIES ONE
VALUATION
w /6%2 DESCRIPTION OF WORK (7�/� NEW
Contractor i Date $
❑I am exe t under Sec. / 0/QT D�jQ ADD ❑ ,
ALTER ❑
B.&P.C. for this reason REPAIR ❑ $
Date: USE OF
EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL. FINAL q�
OWNER-BUILDER DECLARATION (PRINT) NO. DATEZ�' l 2-
1 hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL �i
Professions Code): PRESENT By v/�
❑ 1, as owner of the ro ert or with BUILDING [•�,-,1,; x x
P P Y.' m em to Y ees P Y ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY -
7044, Business and Professions Code.) MOVING., TEL.
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. Y M
with licensed contractors to construct the project (Sec-, '.�-
ADDRESS
tion 7044, Business and Professions Code.) ;- :_r;, ,f
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
S« '
I hereby affirm that there is a construction lending agency for FRONT i .•w
the performance of the work..for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
is ti)'
Lender's Name _ • -w
P.C. Fee$ "/�/� d�� LDMA Ref. # 1...j-H11-_'
Permit Fee - !ii5+.ice
Lender's Address
0 1 certify that I have read this application and state that the Issuance Fee ��76 LDMA P/C# ►
0
above information is correct. I agree to comply with all County Investigation Fee
d ordinances and State laws relating To building construction, Total Fee J 1.v o. LDMA Perm. #
and hereby authorize representatives of this County to enter "'•'a"=
t '4i �L+i:
upon the above-mentioned property for inspection purposes. -
a .
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
e. �+ WORKERS' COMPENSATION DECLARATION
to sf
insure, oraffirm a certif cane of Workers' Compensation consent Insuran e, APPLICATION FOR BUILDING PERMIT
or a certfied copy thereof (Sec. 3800, Lab. C.) qCOUNTY OF LOS ANGELES y _- a
BUILDING AND SAFETY
Policy No..4F5' Company 5Twrx-
BUILDING
❑ Certified copy.is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
;;P�Certified copy is filed with the county building inspec- BUILDING ADDRESS _r3_f �SJ®GDEN BEST � •
tion department. .
Date • /2 Applicant -"
' "p CITY TE��GE CST ZIP /�d LOCALITY
Pp NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS'. SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK I LOT NO. MAP BOOK I PAGE I PARCEL
hundred dollars ($100) or less.) TEL.
OWNER Sele-16r ,�dv�1,SdA,� NO. �r:� USE ZONE MAP
NO.
I certify that in the performance of.the work for which this SPECIAL >_
permit is issued, I shall not employ any person in any manner ADDRESS �,5,�� DLD�/v LJf Sr �� CONDITIONS O
so as to become subject to the Workers' Compensation Laws. LytU
,o CITY T�/�ij�c- �j� ZIP �/7��
Date X_Y-7 Applicant /><i�E/,to� �` ` ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE ESSED BY Of
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. Z E
Exemption, you should become subject to the Workers' _ )� LU
Compensatioprovisions of the Labor Code, you must forth- ADDRESS 6� N
with comply with such provisions or This permit shall be TEL. sc STATISTICAL CLASSIFICATION 7�75� Z
deemed revoked. CONTRACTOR . NO.. —
LICENSED CONTRACTORS DECLARATIONLIC. s CLASS NO. DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter9 ADDRESS G��az Al NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC. q
and Professions Code;and my license is in full force and effect. CITY 9f CLASS G� / BK. PG. VALIDATION
SQ. FT. NO. OF N0-0 F CHECK
License Number � .?-38 Lic. Class SIZE STORIES FAMILIES ONE
/� .a ' VALUATION
/-r�Gli�l?f�/ .eo2IDate 17 Z DESCRIPTION OF WORK NEW ❑ $
Contractor D
ADD ❑ ►
❑I am exempt under Sec. .9fE SH /.✓
ALTER ❑
B.&P.C. for this reason O' F/sLT 00 LAR ",CS 3 b Com $
O_-440REPAIR ❑
Date: USE OF Ff 06*7 DEMOL ❑
EXISTING BLDG.
Signature APPLICANT TEL. FINAL / CJ
OWNER-BUILDER DECLARATION (PRINT) /l �pp� NO. f' DATE
I hereby affirm that I am exempt from the Contractor's License �1Z �'
Law for the following reason (Section 7031.5, Business and ADDRESS r FINAL ,
)
Professions Code): PRESENT By
BUILDING ;;•:, o
❑ I, as owner of the property,' or my employees with ADDRESS
wages as their sole compensation,will do the work and a-
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code.) MOVING TEL. s-E•`�f;;;-
CONTRACTOR NO.
❑ 1, as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec-
ADDRESS
tion 7044, Business and Professions Code.) --•
REQUIRED TOTAL SETBACK FROM EXIST. ,F4,.+y
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH "' -'
I hereby affirm that there is a construction lending agency for FRONT 1-P-; G=-�
the performance of the.work for which this permit is issued P.C.
"`t�'`"'
(Sec. 3097, Civ. C.). SIDE.-
P.
IDE -P.L.
Lender's Name 4.E[,' ( -•;�';^,t 3 _;;
LDMA Ref. #
P.C. Fee$ Permit Fee !J
Lender's Address ?
0 1 certify that I have read this application and state that the Issuance Fee cif - LDMA P/C#
above information is correct. I agree to comply with all CountyInvestigation Fee /
8 ordinances and.St laws relating to building construction, Total Fee r� s 4O 3 LDMA Perm. #
a and hereb orize representatives of this County to enter
upon t ove-me oned.pro rty for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
ature of Applicant or Agent Date